MHSA-CYS FOSTER YOUTH FSP
NPI 1104012459
Clinic/Center - Mental Health (Including Community Mental Health Center) in Stockton, CA

NPI Status: Active since September 20, 2007

Contact Information

620 N AURORA ST
STOCKTON, CA
ZIP 95202
Phone: (209) 468-8700
Fax: (209) 468-2399

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Mental Health (Including Community Menta...

About MHSA-CYS FOSTER YOUTH FSP

This page provides the complete NPI Profile along with additional information for Mhsa-cys Foster Youth Fsp, a provider established in Stockton, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1104012459 assigned on September 2007. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Mhsa-cys Foster Youth Fsp. The authorized official of this NPI record is Genevieve Valentine Lmft (Director, Behavioral Health Service)

NPI: 1104012459
Provider Legal Name: SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Other Organization Name: MHSA-CYS FOSTER YOUTH FSP
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 620 N AURORA ST STOCKTON, CA 95202
Location Phone: (209) 468-8700
Location Fax: (209) 468-2399
Mailing Address: 1212 N CALIFORNIA ST STOCKTON, CA 95202
Mailing Phone: (209) 468-9815
Mailing Fax: (209) 468-2399
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 09-20-2007
Last Update Date: 05-10-2024
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Location Map

Secondary Locations

333 E Washington St
Stockton, CA 95202
(209) 468-9815
1414 N California St
Stockton, CA 95202
(209) 468-8700

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Mental Health (Including Community Mental Health Center)
Taxonomy Code: 261QM0801X
Type: Ambulatory Health Care Facilities
License State: CA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: GENEVIEVE VALENTINE LMFT
Authorized Official Title: DIRECTOR, BEHAVIORAL HEALTH SERVICE
Authorized Official Phone: (209) 468-8750

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
9096	MEDICAID (05)	CA

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104012459, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 41. The final step is to find the difference between that total and the next multiple of ten (50 - 41 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 0

Pos 4

Unchanged

Pos 5

Doubled → 0

Pos 6

Unchanged

Pos 7

Doubled → 4

Pos 8

Unchanged

Pos 9

Doubled → 10 → 1 + 0

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 2 → 4 5 → 10 → 1